Individuals with SMI who have been involved in the criminal justice system face numerous challenges including additional stigma. They may also exhibit behaviors that were adaptive in correctional settings but become maladaptive in other settings. Many of these persons have histories of trauma and their exposure to criminal justice processes can be further traumatizing. Many will have antisocial personality features that the mental health treatment provider may feel ill-equipped to support and may even not enjoy the work of working with these individuals, which can lead to personal burn out and difficulty with compassion. This can be especially true for patients with histories of aggression or even violence. In addition, individuals with SMI in the criminal justice system often have co-occurring substance use disorders and medical conditions that compound their complexity. The criminal justice system utilizes a rubric called the Risk-Need-Responsivity paradigm to identify individual risk of criminal recidivism. Interventions such as specific cognitive behavioral strategies are often used in criminal justice contexts to address some of the criminogenic thinking associated with such recidivism. This framework has been applied to broad populations even while more research is needed to determine how these methods can best fit for persons with SMI. This presentation reviews these various topics to assist mental health professionals in supporting their patients who have had criminal justice involvement.
FREE - $0
Funding for this initiative was made possible (in part) by Grant No. 1H79SM080818-01 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
- Describe some of the challenges clinicians face in working with clients who have been criminal justice-involved
- Discuss approaches used by the criminal justice system to identify and reduce criminal recidivism
- Describe how trauma-informed approaches can facilitate working with individuals who have been justice involved
Counselor, Psychiatrist, Physician (non-psychiatrist), Physician Assistant, Psychologist, Social Worker, Peer Specialist/Peer Support
Introductory; Intermediate; Advanced
Estimated Time to Complete
Estimated Duration: 1.0 hour
Program Start Date: December 20, 2019
Program End Date: December 20, 2022
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit™, CE credit for psychologists, or a certificate of participation may do so by completing all sections of the course, including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 75% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), CE certificate (psychologists), or certificate of participation (other disciplines) showing the completion date and hours earned.
Continuing Education Credit
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this live event for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Psychiatric Association is approved by the American Psychological Association to sponsor continuing education for psychologists. The American Psychiatric Association maintains responsibility for this program and its content.
Faculty and Planner Disclosures
- Debra Pinals, MD, is the director of the Program in Psychiatry, Law, and Ethics and a clinical professor of psychiatry at the University of Michigan Medical School. Dr. Pinals reports no financial relationships with commercial interests.
- Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests.
- Amy N. Cohen, PhD, American Psychiatric Association. Reports no financial relationships with commercial interests.
- Tristan Gorrindo, MD, American Psychiatric Association. Reports no financial relationships with commercial interests.
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For assistance: Contact email@example.com for questions about this course | Contact SMIadviserHelp@psych.org for technical assistance